usu dietetic internship lesson plan

USU DIETETIC INTERNSHIP LESSON PLAN

Lesson Title: Making toddler meal time pain free with essential serving sizes

Audience: WIC participants

Time/Duration: 28-33 minutes

Lesson Summary: The focus of this lesson is meal time with toddlers and what foods and what portions of foods should be presented to children to encourage healthy eating

Prior Knowledge Needed: Basic understanding of MyPlate and what foods belong to each group. Common serving sizes for adults

Lesson Objectives: After this lesson class members will be able to: 1. Name the different food groups that children should be eating from and the serving sizes that are appropriate for them. 2. Create one healthy meal with proper serving sizes and one snack following same guidelines. 3. Name the responsibilities for the parent during meal time and the role of the child in meal time.

Preparation & Supplies Needed:

Butcher paper for graffiti sharing time. PPT Meal tracker handout Meal planning handout

Diversity Group: Visually impaired

Diversity Adjustment(s): 1. Speak all items that need to be understood. And explain any visuals that are on the ppt.

2. Provide physical objects to provide a further understanding that would usually be done with a visual explanation.

Objective Time/ Duration

Lesson Content & Teaching Method/Activity Lesson Plan Materials (PPT, links, visual aids, etc.)

Obtain an understanding of people’s feelings towards meal time.

5-10min Lesson: Meal times have good and bad times. It is important to understand that everyone shares these feelings and we can work together to find ways to make meal time enjoyable. Teaching Method/Activity: Graffiti. Using the butcher paper on the walls, participants will express and share their thoughts and feelings about meal time with children Once participants are done sharing their feelings instructor will review the thoughts and

Butcher paper and markers


feelings people had and probe for further explanation if needed.

Name the different food groups children should be eating from.

3 min Lesson: Using the ppt slides address the following questions to the class. How many calories should toddlers consume in a day? 2-3yo should eat 1-1.2/day What should the serving sizes look like for toddler? ½ adult size How should we distribute these 1-1.2kcal? Using the MyPlate model we will explore serving sizes of each food group and how many of each serving a toddler should be offered throughout a day. Teaching Method/Activity: PPT and Q&A

PPT slides

Give examples of appropriate serving sizes for toddlers.

5 min Lesson: Cover each food group and offer the total servings for the day, tips for preparation and example serving sizes Grains Vegetable Fruit Dairy Meat and beans OVERVIEW Ages 2-3 years-old

o Grains: 3 ounces o Vegetables: 1 cup o Fruits: 1 cup o Dairy: 2 cups o Protein: 2 ounces

Ages 4-8 years-old

o Grains: 5 ounces o Vegetables: 1 ½ cup o Fruits: 1 to 1 ½ cup o Dairy: 2 ½ cups o Protein: 4 ounces

Teaching Method/Activity: PPT and Provide class with meal tracker sheets handouts and have them mark the chart as we go over each meal

PPT slides and meal tracker sheet


Create one healthy meal with proper serving sizes and one snack following same guidelines Name the responsibilities for the parent during meal time and the role of the child in meal time.

5 min 5 min 5min

Lesson: The next challenge is taking these servings and making a menu. Teach the class how this is going to take time and effort at first but will become second nature once you are familiar what serving sizes look like and how to combine them to make a complete well-balanced day. Teaching Method/Activity: Using meal planning handout, have class create a day of meals using the serving sizes that we reviewed. Lesson: Address issues people have at meal time because they don’t understand the responsibilities for the parent during meal time and the role of the child in meal time. Go over the Do’s and Don’ts of meal time. Teaching Method/Activity: PPT and class discussion. About the power struggle that can occur during meal time. REVIEW Activity: Quiz

Meal planning handout PPT Quiz

References: choosemyplate.gov

FIGURING OUT MEAL TIME Amber Richards

ACTIVITY – GRAFFITI

Using butcher paper that is on the walls express and share your thoughts and feelings about meal time with children.

OBJECTIVES

1. Name the different food groups that children should be eating from and the serving sizes that are appropriate for them.

2. Create one healthy meal with proper serving sizes and one snack following same guidelines.

3. Name the responsibilities for the parent during meal time and the role of the child in meal time.

WHEN ARE THE MAIN TIMES WE ADDRESS SERVING SIZES IN DETAIL

We can and should address serving sizes with all participants but these are some very important times.

HOW MANY CALORIES SHOULD TODDLERS CONSUME IN A DAY?

Most 2- to 3-year-old children need to consume about 1,000 to 1,200 calories per day.

TODDLER SERVING SIZES ARE HALF OF ADULT SIZES (THESE ARE NOT RESTAURANT SIZE PORTIONS)

Adult Serving

Toddler Serving

HOW DO WE DISTRIBUTE THESE 1000-1200 KCAL? MyPlate

GRAIN GROUP 2-3years - 3 ounces per day4-8years - 5 ounces per day

EXAMPLES OF 1 OUNCE OF GRAIN1” mini bagel

1 2” biscuit

1 slice bread

5 whole wheat crackers

½ English muffin

1 packet instant oatmeal

3 cups popcorn

1 cup ready to eat cereal

½ cup cooked rice

1 6” flour tortilla

VEGETABLE GROUP 2-3 years – 1 cup4-8 years – 1 ½ cups

TIPS FOR SERVING VEGETABLES

Offer a variety of subgroupsDark Green – broccoli, kale, spinach, watercressRed & Orange – Carrots, pumpkin, red peppers, tomatoesBeans & Peas – Garbanzo, kidney, pinto beans, split peasStarchy – Green peas, corn, white potatoesOther – Celery, cucumbers, mushrooms, onions, green beans

Offer multiple times a day and in small serving sizesFour choices of the following would equal 1 cup½ stalk of celery½ small pepper2-3 florets of broccoli 3 baby carrots¼ cup tomato juice1 3” ear of corn¼ cup of green peas½ cup raw spinach

FRUIT GROUP 2-3 years – 1 cup4-8 years 1 to 1 ½ cups

SERVING FRUITS

Choose whole fruit over fruit juiceLimit juice to 4 ounces per dayDilute with water to make it last longer

Offer a variety of types to toddlersThis will expand their palletDon’t give up if they don’t like it the first time

Pick & choose servings that add up to 1 cup

4 of the following options will add up to 1 cup½ small apple½ small 6” banana8 grapes½ small orange½ small peach2 large strawberries3 watermelon balls½ applesauce snack container (2oz)

DAIRY GROUP 2-3 years – 2 cups4-8 years – 2 ½ cups

SERVING MILK CAN BE TRICKY

Choose low fat milks and other diary products

Limit the amount served to 2 to 2 ½ cups to prevent anemia

Serving sizes that equal 1 cup in the dairy group 1 cup milk 1 cup yogurt 2 ounces/slices processed cheese 2 cups cottage cheese 1 cup pudding 1 cup calcium fortified soy milk 1/3 cup shredded cheese

MEAT & BEAN GROUP 2-3 years – 2 ounces4-8 years – 4 ounces

TIPS FOR PROVIDING PROTEIN FOODSOffer a variety of protein foods including: meats, poultry, seafood, eggs, nuts and seeds, beans and peas

Pick lean meats

In general 1 ounce of meat, poultry or fish, ¼ cup cooked beans, 1 egg, 1 tbsp. peanut butter, or ½ ounce of nuts/seeds can be considered 1 ounce protein

Protein foods and servings for 1 ounce includeI ounce cooked lean beef/pork/ham1 ounce cooked chicken/turkey without skin1 sandwich slice of turkey (1/8 inch thick)1 ounce of cooked fish or shell fish1 egg¼ cup cooked black/kidney/pinto beans2 tbsp. hummus1 tbsp. peanut or almond butter

OVERVIEW OF SERVINGS

REVIEW – GOAL SERVINGS FOR EACH DAY

oAges 2-3 years old

oGrains: 3 ounces

oVegetables: 1 cup

oFruits: 1 cup

oDairy: 2 cups

oProtein: 2 ounces

oAges 4-8 years old

oGrains: 5 ounces

oVegetables: 1 ½ cup

oFruits: 1 to 1 ½ cup

oDairy: 2 ½ cups

oProtein: 4 ounces

HOW TO MAKE THESE SERVINGS INTO MEALS

At first this will take planning and thinking ahead. But after some practice this will become second nature.

BREAKFAST

1 cup dry cereal (1 ounce of grain)

½ cup of milk (½ cup of dairy group)

2 large strawberries (¼ cup of fruit group)

SNACK

2 tbsp. hummus (1 ounce of protein group)

5 whole grain crackers (1 ounce of grain group)

3 broccoli florets (¼ cup of vegetable group)

LUNCH

½ applesauce snack container (¼ cup of fruit group)

3 baby carrots (¼ cup of vegetable group)

1 slice of bread (1 ounce of grain group)

1 tbsp. peanut butter (1 ounce of protein group)

1 tsp jam

SNACK

½ cup yogurt (½ cup of dairy group)

½ small banana (¼ cup of fruit group)

½ celery stick (¼ cup of vegetable group)

DINNER

1 6” flour tortilla (1 ounce of grain group)

1/3 cup shredded cheese (1 cup of dairy group)

¼ cup black beans (¼ cup of vegetable group)

½ applesauce snack container (¼ cup of fruit group)

THE POWER STRUGGLE It is time to get rid of the clean your plate mentality

DIVISION OF RESPONSIBILITY

ParentWhat to eat

When to eat

Where to eat

ToddlerHow much of each item they will eat

TIPS

Don’t be afraid to say no

Don’t force child to clean plate

DO offer many different food groups

DO offer meals and snacks every 2-3 hours

QUIZ Do you remember what was taught

SERVING SIZES FOR TODDLERS IN-SERVICE QUIZT/F Toddlers should be eating as much fruits and vegetables as their 10-year-old sister.

____ tbsp. of peanut butter is equivalent to ____ oz serving of protein 1, 3 2,3 2,2 2,1

T/F A toddler’s serving is ½ the size of an adult’s serving.

The toddler’s role in meal time is to decide Where to eat When to eat How much to eat What to eat

T/F A 2- 3-year-old toddler’s sandwich should only have 3 slices of sandwich meat on it.

My Healthy Plate Menu Planner

Breakfast Fruit__________________ Vegetable______________ Grain__________________ Protein_________________ Dairy___________________ Snack Fruit__________________ Vegetable______________ Grain__________________ Protein_________________ Dairy___________________ Lunch Fruit__________________ Vegetable______________ Grain__________________ Protein_________________ Dairy___________________ Snack Fruit__________________ Vegetable______________ Grain__________________ Protein_________________ Dairy___________________ Dinner Fruit__________________ Vegetable______________ Grain__________________ Protein_________________ Dairy___________________

Serving Sizes for Toddlers Review

Answer the following questions to the best of your ability without using the handouts. 11. T/F Toddlers should be eating as much fruits and vegetables as their 10-year-old sister. 12. ____ tbsp. of peanut butter is equivalent to ____ oz serving of protein

a. 1, 3 b. 2,3 c. 1,1 d. 2,1

13. T/F A toddler’s serving is ½ the size of an adult’s serving. 14. The toddler’s role in meal time is to decide

a. Where to eat b. When to eat c. How much to eat d. What to eat

15. T/F A 2- 3-year-old toddler’s sandwich should only have 3 slices of sandwich meat on it.

Serving Sizes for Toddlers Review Answer the following questions to the best of your ability without using the handouts.

6. T/F Toddlers should be eating as much fruits and vegetables as their 10-year-old sister. 7. ____ tbsp. of peanut butter is equivalent to ____ oz serving of protein

a. 1, 3 b. 2,3 c. 1,1 d. 2,1




Serving Sizes for Toddlers Review Answer the following questions to the best of your ability without using the handouts.

1. T/F Toddlers should be eating as much fruits and vegetables as their 10-year-old sister. 2. ____ tbsp. of peanut butter is equivalent to ____ oz serving of protein

a. 1, 3 b. 2,3 c. 1,1 d. 2,1




usu dietetic internship lesson plan

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